Not sure about a primary surgical airway in this guy
Colin, not that easy in the prehosp setting and the
surgical emphysema caused by misplacement has to be
seen to be beleived !
One thing I can't get over is the apparant obsession
in PHC by Ketamine. Good analgesic but a poor
anaesthetic induction agent. Better to use something
quicker like thiopentone etc.
As in all things anesthetic wise - you either do it or
you don't there are no half measures.You'll get into
more trouble with a light patient than in anything
else.
The thought of sux on it's own is a recipe for
disaster and likely to land you in court. It will also
do quite interesting things to your patients potassium
in this situation and your (and the patients) cardiac
rhythm.
Interesting and horrible unexpected things.
Iain
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